Mr Patrick Dennis Lavallie, | |
1010 Us 27 N, Avon Park, FL 33825-2556 | |
(863) 453-5200 | |
Not Available |
Full Name | Mr Patrick Dennis Lavallie |
---|---|
Gender | Male |
Speciality | Speech-language Pathologist |
Location | 1010 Us 27 N, Avon Park, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568927481 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | SA1438 (Florida) | Primary |
Provider Name | Legacy Healthcare Services Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1336535988 PECOS PAC ID: 2163339722 Enrollment ID: O20150805009289 |
Mailing Address | Practice Location Address |
---|---|
Mr Patrick Dennis Lavallie, 208 Trafalgar Way, Lake Placid, FL 33852-7906 Ph: (954) 675-8842 | Mr Patrick Dennis Lavallie, 1010 Us 27 N, Avon Park, FL 33825-2556 Ph: (863) 453-5200 |
Miss Taylour Ann Campbell, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1010 Us 27 N, Avon Park, FL 33825 Phone: 863-453-5200 Fax: 863-453-5308 | |
Mrs. Patricia Holmes Allen, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1010 Us Highway 27 N, Avon Park, FL 33825 Phone: 863-453-5200 | |
Stephanie Marie De Silva, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1010 Us-27, Avon Park, FL 33825 Phone: 863-453-5200 | |
Krishyra Williams, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 867 Memorial Dr, Avon Park, FL 33825 Phone: 910-578-8431 |